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反灌作为迷你PCNL中的新技术:来自前性临床试验的结果

Ahmad El-Sakka¹, Mostafa El-Gendy¹, Abdelnaser El-Gamasy¹

¹Urology Department at Faculty of Medicine, Tanta University, 31111 Tanta, Gharbeya, Egypt.

Archivos espanoles de urologia

|February 13, 2025

概括

这项研究表明,对结石来说,经过修改的迷你穿皮瘤切除术 (迷你PCNL) 与反灌是安全有效的. 该技术在一个月内实现了95%的无石头率,并并发症最小.

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
最少侵入性的手术
脊髓石切除术 (nephrolithotomy) 是一个切除术.

背景情况:

结石对健康造成重大负担,需要有效的治疗选择.
穿皮瘤切除术 (PCNL) 是一种标准的治疗方法,迷你PCNL提供了一种不那么侵入性的方法.
迷你PCNL的挑战包括可视化和石碎片清除.

研究的目的:

为了评估新改版迷你PCNL技术的无石率 (SFR) 和安全性.
这种修改利用通过单独的上极接入来进行反灌.
这项研究的目的是评估患有高达30毫米的结石和扩张的上方玻璃杯患者的疗效.

主要方法:

对40名接受修改迷你PCNL技术的患者进行了前性分析.
患者患有结石 (<30毫米) 和扩张的上.
在手术后3天和1个月使用非对比计算断层扫描 (NCCT) 确认了无石头状态.

主要成果:

平均石材大小为24.68毫米,平均密度为931.38 HU.
整体无石头率在手术后立即为90%,在1个月的随访后增加到95%.
观察到10%的低并发症率,包括可控发烧和轻度出血.

结论:

经过修改的微型PCNL与反灌是一种安全有效的治疗脏骨盆结石与扩张的上方玻璃杯.
这种技术由于可视化和碎片清除的改进,有可能提供高的SFR.
该方法表明,对于接受石头切除的患者来说,这种方法具有可接受的安全性.

关键词:

结石结石是指结石的发生.通过皮肤进行nephrolithotomy.脏结石:脏结石是指脏中的结石.

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